Emergent Lung Resection for Massive Hemoptysis From Bronchial Malformation
| Autor: | Hailey M. Shepherd, Kunal D. Kotkar, Nassir Rostambeigi, Varun Puri, Sanjeev Bhalla, Daniel Kreisel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Hemoptysis Transcatheter embolization medicine.medical_treatment Usually asymptomatic Bronchi Severity of Illness Index Arteriovenous Malformations Bilobectomy Young Adult Refractory medicine Extracorporeal membrane oxygenation Initial treatment Humans Pneumonectomy Emergency Treatment Rupture Spontaneous business.industry Surgery Lung resection Cardiology and Cardiovascular Medicine business Hemodynamic instability |
| Zdroj: | The Annals of thoracic surgery. 112(6) |
| ISSN: | 1552-6259 |
| Popis: | Bronchial arteriovenous malformations (AVMs) are usually asymptomatic findings noted on imaging but may present with massive hemoptysis following endobronchial rupture. Initial treatment usually involves transcatheter embolization with surgery reserved for refractory cases. Here, we present a patient with large-volume hemoptysis following bronchial AVM rupture. Attempted endovascular management was unsuccessful due to unfavorable anatomy and hemodynamic instability, necessitating emergent use of extracorporeal membrane oxygenation (ECMO) followed by right bilobectomy. |
| Databáze: | OpenAIRE |
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